NPI | 1215618905 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363LG0600X Nurse Practitioner, Gerontology (Licence: WA AP61574931) |
Additional Taxonomies | 163W00000X Registered Nurse (Licence: WA RN60919062) |
363LP2300X Nurse Practitioner, Primary Care (Licence: WA AP61574931) | |
Enumeration Date | 2023-07-26 |
Last Update Date | 2024-12-31 |